AMBULANCE VICTORIA 2009-2010 ANNUAL REPORT

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Research AV promotes and participates in high quality research within a rigorous research governance framework, with the aim of improving patient care. AV is committed to a collaborative approach to research, and works closely with a range of other service providers and research institutions. During 2009-2010, AV participated in 39 research studies, 32 of which are continuing. AV also has ongoing involvement in three quality assurance registries: the Victorian Ambulance Cardiac Arrest Registry (VACAR), Turning Point Drug and Alcohol Centre – Non-Fatal Overdose Registry and the Victorian State Trauma Outcomes Registry (VSTORM). In addition, two AV Research Fellows are continuing clinical research in the high priority areas of out-ofhospital cardiac arrest and trauma. Research highlights of the year include: Eleven publications in peer reviewed journals: • Kerr D, Kelly AM, Dietze P, Jolley D and Barger B. Randomised controlled trial comparing the effectiveness and safety of intranasal and intramuscular naloxone for the treatment of heroin overdose. Addiction. 2009;104, 2067–2074. • Chan EW, Taylor SE, Marriott JL and Barger B. Bringing patients’ own medications into an emergency department by ambulance: effect on prescribing accuracy when these patients are admitted to hospital. MJA 2009; 191 (7): 374-377. • Hutchison AW, Malaiapan Y, Jarvie I, Barger B, Watkins E, Braitberg G, Kambourakis T, Cameron JD and Meredith IT. Prehospital 12-Lead ECG to Triage ST-Elevation Myocardial Infarction and Emergency Department Activation of the Infarct Team Significantly Improves Door-to-Balloon Times: Ambulance Victoria and MonashHEART Acute Myocardial Infarction (MonAMI) 12-Lead ECGProject. Circulation Cardiovascular Interventions 2009;2:528-534. • Bernard SA, Smith K, Cameron P, Masci K, Taylor DM, D. Cooper J, Kelly A-M and Silvester W for the Rapid Infusion of Cold Hartmanns (RICH) Investigators. Induction of Therapeutic Hypothermia by Paramedics After Resuscitation From Out-of- Hospital Ventricular Fibrillation Cardiac Arrest: A Randomized Controlled Trial Circulation 2010;122;737-742. • Bray JE, Coughlan K, Barger B and Bladin C. Paramedic Diagnosis of Stroke: Examining Long- Term Use of the Melbourne Ambulance Stroke Screen (MASS) in the Field. Stroke 2010;41;1363-1366. • Dennekamp M, Akram M, Abramson MJ, Tonkin A, Sim MR, Fridman M and Erbas B. Outdoor Air Pollution as a Trigger for Out-of-hospital cardiac arrests. Epidemiology 2010;21: 494–500. • Zalstein S, Danne P, Taylor D, Cameron P, McLellan S, Fitzgerald M, Kossmann T, Patrick I, Walker T, Crameri J, Bailey M and Magilton G. The Victorian Major Trauma Transfer Study. Injury 2010;41: 102–109 • Bernard S, Nguyen V, Cameron P, Masci K, Fitzgerald M, Cooper J, Walker T, Myles P, Murray L, Taylor D, Smith K, Patrick I, Edington J, Bacon A, Rosenfeld J and Judson R. Prehospital rapid sequence intubation improves functional outcome for patients with severe traumatic brain injury: A randomized, controlled trial. In Press. Annals of Surgery 2010. • Cox S, Smith K, Currell A, Harriss L, Barger B and Cameron P. Differentiation of confirmed major trauma patients and potential major trauma patients using pre-hospital trauma triage criteria. In Press. Injury 2010. • Deasy C, Bernard SA, Cameron P, Jaison A, Smith K, Harriss L, Walker T, Masci K and Tibballs J. Epidemiology of paediatric out-of-hospital cardiac arrest in Melbourne, Australia. In Press. Resuscitation 2010. • Jennings PA, Cameron P and Bernard S. Epidemiology of prehospital pain: an opportunity for improvement. In Press. Emerg Med J 2010. Two abstracts submitted to the International Conference on Emergency Medicine (ICEM), 9-12 June 2010, Singapore were awarded prizes. • ‘Best Paper for Emergency Prehospital Care’ research prize awarded to the Janet Bray (VACAR Senior Research Fellow) for abstract titled: ‘Has Introducing 400 Compressions Before Mouth- To-Mouth Improved Rates Of Bystander CPR And Outcomes In Out-Of-Hospital Cardiac Arrest?’ • ‘Merit Award’ to Conor Deasy (VACAR/Monash University PhD student) for an abstract titled: ‘Epidemiology of paediatric out-of-hospital cardiac arrest in Melbourne, Australia’. 2009 - 2010 Annual Report AMBULANCE VICTORIA 13
Environmental Commitment AV recognises that the organisation’s everyday activities have an impact on the environment and we are committed to understanding and improving the overall environmental performance of our organisation. ResourceSmart AV completed the ResourceSmart Government program in 2008. This program, developed by Sustainability Victoria and the Department of Sustainability and Environment, is designed to assist statutory agencies achieve Victorian Government policy commitments by improving their environmental performance. Through the program, AV developed a two-year action plan that is currently being implemented. Data Measurement and Reporting To measure and evaluate our environmental achievements and to meet evolving reporting obligations, AV has implemented a system to capture environmental data and prepare it for reporting using the national greenhouse emissions factors published by the Australian Department of Climate Change and Energy Efficiency. In 2009-2010, AV is reporting environmental performance publicly for the first time. The data captured for reporting includes energy, water, paper and fuel usage. Reducing Energy Consumption The integration of environmental design aspects into new ambulance branches and buildings is a key aspect of reducing energy needs. New branch design guidelines will be introduced in the second half of 2010 and will incorporate further enhancements to support a reduction in energy and water use. A strategy is being developed to address energy consumption in existing branches. Renewable Energy AV aims to reduce emissions from energy consumption by increasing the component of accredited GreenPower purchased to 25 per cent by 2011. Maximising Recycling AV is committed to reducing waste to landfill through its waste management programs. This year AV has implemented full recycling programs at large office locations state wide. Reducing Water AV is working towards reducing water consumption at all locations. All new sites incorporate water-saving products such as low-flow showerheads and dualflush toilets and, where appropriate, water tanks are installed. A program is also being developed to ensure all existing sites have water-saving products installed to reduce water consumption, for implementation in the second half of 2010. Communicating with Staff We believe that educating and empowering our staff is key to improving our overall environmental performance. During the year we implemented a quarterly email bulletin to staff aimed at communicating our achievements, highlighting initiatives and providing a medium for staff to communicate local environmental achievements and issues. 14 AMBULANCE VICTORIA 2009 - 2010 Annual Report
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AMBULANCE VICTORIA 2009-2010 ANNUAL REPORT

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